Provider Demographics
NPI:1629716360
Name:DOCTORS WITHOUT WALLS-SANTA BARBARA STREET MEDICINE
Entity Type:Organization
Organization Name:DOCTORS WITHOUT WALLS-SANTA BARBARA STREET MEDICINE
Other - Org Name:SANTA BARBARA STREET MEDICINE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-729-6796
Mailing Address - Street 1:19 E MICHELTORENA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2503
Mailing Address - Country:US
Mailing Address - Phone:805-455-4234
Mailing Address - Fax:
Practice Address - Street 1:19 E MICHELTORENA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2503
Practice Address - Country:US
Practice Address - Phone:805-455-4234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging